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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200183

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Vera KathleenBeck Sex Female

Date of Birth November 3, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Raymond M Beck MAIDEN NAME of Mother Bertha M Codine

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Halifax Present address of Father East Dover

Occupation of Father at Birth of child Fisherman Place of birth of Father East Dover

Race Name and present address of Physician in attendance at birth Dr. McIntosh

Signature of Applicant Bertha M. Beck Address of Applicant East Dover, Halifax, Co. Date 22 November 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Vera KathleenBeck

Born at Halifax in the County of Halifax

That Vera KathleenBeck Whose Birth is sought to be registered was

born at Halifax Halifax County on November 3, 1919

My knowledge of the fact and date of such Birth is based on the following Circumstances:

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